15620 SW 98TH AVENUE 15620 SW 98TH AVENUE
I
m
t
co
m
3
ut
C7
lV
�O
�n
1
w
� i�j /r �1 ♦,,,,r �� 4�r r� +.».o �� �.:J [�rte► �^�) r....* n M::.r 1 F..�1 � 6•�� /� s�!s r /� /� �c'�'s
' �r � w .r w w. w (� "! .� A.s l':1 � �� w�'A.1 1./.�wM'.►4 1.
OF OCC
�I
1, � CITY OF TIGARD AIC.
OREGON
r
O�trler:. ._. T.D.. ..•. ..... ........... ............................. .... .Permit Ko.. 1340 1
Building Address....1. #........................ ..............5620 5W 90th Lot 541
.. ........ ...
. ... . .
....... ... . ..........
•� 4a Aurust � 77
Certificate is hereby given th!., ......... ......(lay of........,� ................... 1.9........-
C �! that said building may be occupied and �(
that it complies with all requirements of
the Building Code for the City of Tigard,
- as approved by the Tigard City Council. .
Building Inspector �
i
JOHN E. P VtIIARBi PILIMBAk i:,-,BUILDING DEPAWFIVIENT, -1.16AHD NO.
P. 0. t;QX 11,49 PLUMBING PERMIT �
_0Q2 - holder of a vatic plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such ir.sto'iatk)ns require inspection by the City 1,!spector who shall be notified not less than four
(4) hours prior to the time the installations are ready for insp-ction. City of Tigard Business License required
for all contractors and sub-contractors.
Owner. �(/ i.�'la L�/ rte . _ __ Address/ t� 1�— Da to
NUMIIFR OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
Singh Family-1 both--each __� ,__ _ 25.00
Duplex–Each 1 bath unit —` 25.00
Additional bathrooms–each _—_ 10.00
Mobile Home Space–each = _ 15.00
INDIVID:.'AL FIXTURE FEES _ --
1 to 60 Fixtures in t bun -er!�h 3.00
51 to 100 Fixtures in 1 building–each_ �.._2.50
101 to 200 Fixturrs in 1 building–each _ 2,00
201 or more Fixtures in 1 building_each — 1.50
MISCELLANEOUS _.
Building Sewer-1st 50 ft. 10.00 _
Sewer–each additional 100 It. 10.00 s
Water Service to buildlrt 5.00 _Y
Private Water Systems–each 1U0 ft. 10.00
Other (Specify):
PERMIT / . 69 01 For Plumbing Inspection Phone 6394191 �
State ,3 6, Plumbing Contractor By
TOTAL - „i��. � RECEIPT NO. Issued Ey _
uJ 0o �5 cy L4 Z4
uilM ►nMNMMLei Oel ,
A vA
C3 I
• N
�°' ►L °
q
v
I U-
v�� v O kk a
w g
L. Q b \ ci
C, F- o O g H
0
G 1 uY O C p ro � � LU C L
Z N
r Q A LL d c }
uco
zT «, d a`, O
N G7QQw > > 1000 O viW
U 1 .
� N
El
.a c a:
,tM.1 O Q >
tr _ pp 0O 0 0 0 0 0 0 0 0 r Q
CT Z7 . U1 O O v 0 0 0 O G
M vL6 -4 tt N et v
U _ O
Wcrfa
4
\ El - - - d Q
I Q
� r I� � O 'Fuj
� W
L• ] uj p
X uJ
n n /f.
ui
F--• W �_ _
i $ O a- p- a $ .1
v c� S � T. x O
oggtn etSrlusMi N w c
%.. .- O
u 0 0 0 �- Z n Z
T 0* Ln b N W
4-1j � I � uJ C O � � O LL u. > � :) cv 0 �y m >0
N
cn
U z $ ai wz g3 � m°°I mp °d Ir
w � •
M W1 WX WA ff 1W
UNIFIED SEWERAGE AGENCY N0. -j-1AM-
WASHINGTON COUNTY DATE _ 3-9-77
CITY OF-------- T i g a I rd
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: ._..- T.D.C.
OWNER'S ADDRESS:
STREET
61 ry STA1 E il-P
BUILDING SITE: LOT- R41-- BLOCK ADDITION
TAX LOT NO. TYPE OF OCCUPANCY .---- r-eDidence
ADDRESS 15620 St.4 98th Avm*
DWELLING UNITS----------- FIXTURE UNITS .--. .--
SURCHARGE IF APPLICABLE
PERMIT FEE --575' INSPECTION FEE .25'__.__ TOTAL DEPOSITED 600.
(NEW) !EXISTING) B I 'l L D I N G SEWER SYSTEM . F-a_nno Crook
The Aprlicant agrees to comply with all Mies and regulations of the Unified Sewerage Agency.
APPLICANT--A-)%JS�-C—C,1
Q\
SEWER PERMIT
THIS PER4MIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE b IZ E INSTALLER
RECEIVED BY-
JAG�NCY UR F?SAC461T)
COMMENTS: -- Bldg. #1340
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
BUILDING PERMIT APPLICATION 11TTIGARD DATE_ - _?T , t9, - f"'39-31II 0
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNCRPHONE
LOT NO.
OWNER _- JOB ADDRESS G! 96th Avoo - HOME ADDRESS
ARC41TECT
ENGINEER
BUIL FR ADDRESS DESIGNER rr--
STRUCTURE ONEW ❑REMODEL_r^ ❑ADDITION ❑REPAIR [:]RENEWAL ❑FIRE DAMAGE `_IDEMOLIIION
❑ RESIDENCE ❑ G
COMM ❑EDUCATIONAL GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE.
QUOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW GCOUN,;IL APPROVED ❑SIGNS
OCCUPANCY LANG USE ZONE BLDG.TYPE_ FIRE ZONE— PLAN CHECK BY_ HE47__,_______
mat t.�Q1 Re-issua :sama as 10320 StIj Grconle f-jerr. - -
u/attached gerago 2 bodruom 7 betty
1 17 Lyc 3:i+960,
OQC.LOAD FLOL_`_9_I_QAP____ HEIGHT NO.S1QR fl AREA NQ,9Er_EIOOMS� VALID
BUILDING DEPARTMENT _ SETBACKS FRONT fS EJ" REAR 41 LEFT SIDE RIGHT SIDE
Permit 14:J.Uf! –_ -- _ -- _— - _--
THIS PERMI to .'wED SUBJECT 'TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check .00 REGULATIONS SND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE 111 ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COFAPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATS PERMITS REQUIRED FOR SEWER, PL.UMRING AND HEATING.
Total L r.^
BY
APPLICANT OR AGENT
Appi,ved 9tW Receipt No. t
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE • .
�-�- Contractor l /'
Permit No.
"oh-in
y-- Ll 9
Fixture
Final
672-37,17 fy�\ _ HEATING i
_ Contractor
Permit No. �� ,�/ y// >7-1
Gas or Oil
Rough•in
Final
SEWER
Final
DRIVEWAY
_ Final
Storm Drainage
(Rain Drain) Final _
Sidewalk
Curb&Street Final
_
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
C ` Landscaping
(' Zoning Final C
c
a..
O UII
�. Z'I I � r3cz
V J t II Q U
�r� `rco
I O
u I O Q >
-� O c z r LU po � z �
❑ Q 91 < Z) 1 U
n� Di C71 r ( . 7�uLu oz
Lu u W F I o>1
c Z
a¢ i� c`Oia �
c 2 ~ C u W a u u
M ,
a C tr h0 ." > F
Z Cl N c-
�� w G V u o 1-NOo� < u
u Cl O 7 I Z F g 1l O =
O c� C ED
Lu G I COULLt_ p � <
O Q < c ` C < U
S Oho
« O J to p triWu
WcUtU- 2
2 X G
U O r V Z, u C� � UZO < nz 1
El
.moi OI� U L. NzQ Z .J ,.
Z e f U Q ` -� 0aCA
LJ LJ rl C' W .IO4H R F- •' .
u u Z
W 4n
C O C N Z S v5: Z O u h
0 z u F- zLU LU LU< VI C Li -� V � < ` a
❑ D Cly _` I JVOO Zr m 7
o
El ,yl w � Czo - � � ��
A
z ¢ G =`r_ O C I
1 O � ZG � J
Li u
• �u O <u: U
C > G X71. H ❑ u > N H N O 2 u
-" v 0 O 7I D N� f- V Z� �� ZOW > r
G V < u p O C,I < p O
CD < :) < ~ J V S L I N N l_ U
❑ >I < I rzp � L "
Z
O !:! V� O o e J � N n
Lj
❑ _
u < � uL',i
w o c � _• < e �
Z a '� r
C- O w z I N •- cs < c ^'
p O ❑I 1 1 '
7 i p ti I
u z
C O O C
� ❑ O I N <1 � /1 1n �
!� Ln'
ZU.
U II - n
,Y 1 O
CJ <<i ul -----_
J r o oI a w;
1
Address /S(� yx Permit No. /i WSJ
Permit charge 22c2Z2
It—
Owner Connection r'ee .S" 2,'
;paid by ,- C) - C
Type of building Date connected
Service rate Sly_ Inspection fee
Contractor Paid by date
Size of connection _ Assessment Paid
i